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Case Report: Postoperative ascites: allergic reaction to the drainage tube in a 12-year-old patient

Ren-Sen Jiang1, Jing Lao2, Huan-Sheng Wang3

  • 1Shenzhen Pediatrics Institute of Shantou University Medical College, Shenzhen, Guangdong, China.

Frontiers in Surgery
|November 14, 2024
PubMed

Insights

Silicone allergy in children is rare, but this case highlights allergic ascites from a surgical drainage tube. Prompt diagnosis and anti-allergic treatment led to resolution, emphasizing the need to consider tube allergy.

Area of Science:

  • Pediatric Surgery
  • Allergy and Immunology
  • Gastroenterology

Background:

  • Allergic reactions to silicone in pediatric patients are infrequently reported.
  • Limited clinical experience exists regarding the symptoms and management of silicone-induced allergic reactions in children.

Observation:

  • A pediatric patient developed prolonged ascites post-abdominal drainage tube placement for ovarian cystadenoma surgery.
  • Continuous drainage of clear, light-yellow fluid (250 mL/day for 36 days) was observed.
  • Ascitic fluid analysis revealed elevated eosinophil proportion.

Findings:

  • The patient's ascites showed a positive response to anti-allergic therapy.
  • Ascites gradually resolved after the removal of the silicone drainage tube.
  • This represents the first reported case of allergic ascites in a child associated with a drainage tube.

Implications:

  • Highlights the potential for silicone drainage tube allergy in pediatric surgical patients.
  • Underscores the importance of considering allergic reactions to medical devices in differential diagnosis.
  • Suggests anti-allergic treatment and device removal as effective management strategies for allergic ascites.

Keywords:
allergy and immunologyascitescase reportmucinous cystadenomasiliconesuction drainage

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